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NYC-WTC_000199154

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199154–000199157
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Scanned page image, NYC-WTC_000199155
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NYC 9/11 Public Portal Document —— ATC ASSOCIATES INC. Page j of a BATCH NO. Z OY9Y BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION lL. Chent: NYC - BOE 2. Project Nam AHERA REINSPECTION | 13. Project # 14584-0823 4. Project Manager: Yiannis Efstathiou 2a. Project Address:292 Greenwich street, New York,NY 10007 4a. Investigator:Chacko Mathew S. Date: 6. Building Name:P.S.234M 8. Tumaround Time: 9. Comments (Field): [Cjstat [J2aurs ([]72urs ((J OTHER Analyzed all of them for fiberglass : L. 7. Saumpling Arcas: : : 10. ‘Time in / Time out: ble | kes ev ptosece’) | (Jones [lasnours [] norma, Qosw SAMPLE ID MATERIAL LOCATION FLOOR RESULTS HAS NUMBER DESCRIPTION NUMBER PS234M_ &|% loz Center So Men Enbvente ; \\ Fiberglass- (\ Settled Dust ALA S234M + 6\¢ {02 wT Eloow Watudey ~ Cheny \ \ A Fiberglass- (WU Settled Dust PS234M_ G\Ghlo2 3 Cehaerrn by Kderen| y | QA Fiberglass- |, Settled Dust Caw ww) ~ PS234M ‘Glgloz , ° LEN Maths UH} Cw vor) 4 as fiberglass- ( Settled Dust u™ Center \ PS234M_ ‘G\G.\o7 tremevend Wace den 181 ALA \S Fiberglass- \s Settled Dust =e . ™ \ PS234M. : GAS fou ; SoU WG A) A 1b Fiberglass- {( | Settled Dust Crass ~ \ PS234M- 6\G\o2 4 \ 1? Fiberglass- \4 Settled Dust c\ GSS OBI NA PS234M- 6\¢lov \% — |Fiberglass- 1 Settled Dust ches | A} PS234M- 61% (02 Clas oom 122 yy) 4 4 Fiberglass- \ 4 Settled Dust “ss \ FSI Cle \ ox Asdvorom Caen act ) me A) dy > Fiberglass- 9° Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date:}19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: > FIELD US MAIL FED-X OTHER LAB INFORMATION 24. Name and Signature: 126. Time: 24a. Analyzed By: MAB JO 4° Aw 24b. Analyzed By: 24c. QC Ry: NYC-WTC_0001 99155 27. Comments (Lab): CITY_21MC100_003031754

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NYC-WTC_000199155Source: NYC Law Department, mirrored locally

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